Provider Demographics
NPI:1255778965
Name:SCHAPANSKY, GREG DALE (RPH)
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:DALE
Last Name:SCHAPANSKY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94551-7628
Mailing Address - Country:US
Mailing Address - Phone:925-456-7209
Mailing Address - Fax:925-243-1276
Practice Address - Street 1:2820 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94551-7628
Practice Address - Country:US
Practice Address - Phone:925-456-7209
Practice Address - Fax:925-243-1276
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH30970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist